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Oregon rates for HCPCS L6638

Upper extremity addition to prosthesis, electric locking feature, only for use with manually powered elbow

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,314.99 / $1,792.08 / $8,501.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,952.91 / $1,952.91 / $1,952.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,425.62 / $1,425.62 / $1,952.91
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,062.59 / $5,712.27 / $7,450.23
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,792.08 / $2,455.15 / $2,946.56
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,190.88 / $2,769.77 / $3,093.89
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,651.90 / $2,946.56 / $3,357.23
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,792.08 / $2,530.69 / $3,093.89
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,425.62 / $2,580.11 / $3,241.22
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.91 / $4,900.02 / $10,337.46
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,534.04 / $3,241.22 / $3,241.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,285.46 / $1,345.45 / $2,566.94